Ellen Carol Axinn, ARNP
Nurse Practitioner, Pediatrics in Hollywood, FL. Individual provider (NPI-1).
NPI number1861509218
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1861509218
- Entity type
- Individual (NPI-1)
- Name
- Ellen Carol Axinn
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Certification date
- Mar 17, 2021
- Last updated
- Mar 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 1360012 | FL | Yes |
Practice location
1005 Joe Dimaggio Drive4 Central
Hollywood, FL 33021
Phone 954-265-1482
Mailing address
2900 Corporate WayDoor D
Miramar, FL 33025-3925
Phone 954-276-5685
Other practice locations
4651 Sheridan Street
Hollywood, FL 33021
Hollywood, FL 33021
Phone 954-265-1482
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